Individual
CARSON BRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA LPC
Contact information
Practice address
240 EDWARD ST, SYCAMORE, IL 60178-2155
(847) 707-2689
Mailing address
23 115TH ST, LEMONT, IL 60439-8754
(630) 449-2607
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
178.020601
IL
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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